| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.38 | $416.06 | $772.05 | |
Aetna
| Professional | $112.38 | $112.38 | $112.38 | |
Cigna
| Facility | $106.74 | $109.78 | $344.08 | |
Cigna
| Professional | $57.40 | $130.35 | $228.25 | |
Regence BlueShield
| Facility | $124.87 | $143.60 | $505.72 | |
Regence BlueShield
| Professional | $130.13 | $138.33 | $172.64 | |
United
| Professional | $52.45 | $52.45 | $74.92 |